The staff of a level-3 nursery is planning to implement developmental care strategies. Which intervention would relate directly to changes in the macro-environment?
a. Designating "time-out" so the infants can have prolonged periods of rest
b. Covering nursery windows with opaque curtains
c. Positioning infants in a side-lying or prone position that facilitates flexion
d. Facilitating kangaroo care with the parents of the infant
B
Covering nursery windows with opaque curtains relates directly to changes in the macro-environment. Light is a major factor in the macro-environment that needs to be adjusted for the well-being of the preterm neonate.Designating "time-out" so the infants can have prolonged periods of rest, positioning infants in a side-lying or prone position that facilitates flexion, and facilitating kangaroo care with the parents of the infant alter the micro-environment.
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The patient has a depressed skull fracture resulting in a tear of the dura mater. What nursing intervention is most directed at preventing a significant complication of this particular injury?
A) Elevating the head of the bed to 15 degrees B) Giving supplemental oxygen by mask C) Ensuring compliance with hand hygiene protocols D) Obtaining consent for surgical repair of fracture
The nurse is preparing to administer bethanechol (Urecholine) to a patient who is experiencing urinary retention. The nurse notes that the patient has a blood pressure of 90/60 mm Hg and a heart rate of 98 beats per minute
The nurse will perform which action? a. Administer the drug and monitor urine output. b. Administer the medication and monitor vital signs frequently. c. Give the medication and notify the provider of the increased heart rate. d. Hold the medication and notify the provider of the decreased blood pressure.
A client's PaCO2 is abnormal on an ABG report. Which of is the most likely be the medical diagnosis?
A) Rheumatoid arthritis B) Sexually transmitted infection C) Chronic obstructive pulmonary disease D) Infection of the bladder and ureters
Which of the following best describes the goal or priority of the nurse advocate?
a. To gain organizational and governmental support for the promotion of nursing objectives b. To improve community service needs identified by research findings c. To integrate evidence-based practice guidelines in the provision of community nursing service d. To promote the client's rights and self-determination